Table of Contents
From the Editor
- Evidence, limes, and cement
Sometimes, the results of clinical trials do not immediately affect what physicians do because the results do not jibe with experience.
Current Drug Therapy
- Acetaminophen: Old drug, new warnings
Often, patients overdose because they take more than one acetaminophen product and are unaware that both products contain the drug.
The Clinical Picture
- Lesions on the hands, high aminotransferase levels
A 64-year-old man presents with a 10-day history of painful vesicles and erosions on the dorsa of the hands that appeared after sun exposure. What is the diagnosis?
Review
- Myelodysplastic syndromes: A practical approach to diagnosis and treatment
The myelodysplastic syndromes are clonal bone marrow disorders that lead to underproduction of normal blood cells. Primary care physicians tend to be the first to identify the problem.
- Food allergy and eosinophilic esophagitis: Learning what to avoid
What we know about the mechanisms of food allergies and eosinophilic esophagitis, how to diagnose them, and how to treat them.
Im Board Review
- Abdominal pain in a 20-year-old woman
Her body mass index is 18.7, and she has lost 20 lb despite a good appetite. What is the cause?
1-Minute Consult
- Should we routinely screen for hypercapnia in sleep apnea patients before elective noncardiac surgery?
Yes. Obesity hypoventilation syndrome is often undiagnosed and greatly increases perioperative risk.
Commentaries
Two recent trials call into question the efficacy of vertebroplasty for treating osteoporotic vertebral compression fractures and are leading many of us to question our assumptions about vertebroplasty.
Should we abandon this popular procedure? Or are there considerations that may mitigate the negative findings of these two trials?